HomeMy WebLinkAboutPermit Building 1991-07-18Rcceipt .f a 3crfta) .. RESIDENTIAL..
\_ - APPLTzAT- t/PERMrr
225 Nonth ith Street
Sprlngfield" 1negon 9747?
Building Diu.ision
? 26-l? 5l
SPHINGFIEIJ'
Pon all eon-
crete atneet fight-
to made after all exca-
oating conpleta & forn llark i sub-
base nsterial in plase.
Signeil:frs
Date:')'4t
It io lhe reaponaibility of the permit holder to aee that aLL inopectione are nade at the proper tine, that ecch cddrees ia readabie
froor the atreet, atd that the permit oard, ia Looated at bhe fnont of the propenty.t9uildiwJ Uluicion appror;cd plan slall renain on the Building Sttc at aLL tines.
PSQCSDUPE Fon INSPE1TQ! fP9IES?:CALL 726-3769 (record,en) atate your City deai.gnated iob
eady for inepeotion, Contraotone ir Anters- ttctte and phoner'ill be nnde the eane dcy, requests ncde aftat ?:00 an viLL be nnde the nert:,wking day.
Iour City Deaigr,ated Job Nunben fa:
SITE INSPE*ION: To be nade after
eraantation, but prtor to set up of
forns.
uilDEnsLA! PLANBINC. ELEq|WCAL e
ny
wk ie cortcred.
FOOTING ,3 FOUNDATICN: To be Imde
@et tr.enc6;ar.eZrcavated aru!
D\YHAI,L fi'ISPECIION: ?c be nadeifren-a|TfiiGlTta in place,
but prior to any taptrrg.
MAS2N[?I: Steel location, bond
iffijgrouting or oertiiala in
accordance tLth U.D.C. Section
241 5.
are erected, but priot to
pouning ccnerete.
nunber, job aCdleso, typentnbct. Requeetl teceived
of inspeclictr
before 7:00 cl
UTIDERFLOOR PLUI.IBIIIC & MECIIANICAL:of
floor inaulction or decking.
?0Sa-AlLlE4l|: To be nadc prion toffidtlifr{of ftoot insulation or
deckitq.
K--yrNsuLATroN/vApoR BARRr En r nspscrrot't :
l-X,l fo be nsde al'ten aLL ineulaticn ad
V rcquined. oapZn bavpiera are in plaoe,; but befone any lath, Wpoun board on
raLL cooeri.ng is applied, ard. befora' @ty inoulation is concealed.
"K
R7 wooosrovet After installation io) e,pl-.tA. ?hD c/Dtl, f,p.
a
CURB E AryRCACll liPruN: Aftet forns
ar,; erectedfr;V;lor" to poufinil
conatete.
thcse inspections harte been
nnde arul approved,.
FT!?EPUCE:ffiql;G Prior to plccirg
aruI bcfot,e franing
faaing
inapec-
tton.
FfrAtlING: llust be requeoted aften
ffit of rangh plir,bing, itectrt-ul. t neclanical. All toofir4j
braoirq A chilmeys, etc. naat be
. conpletad. No tprk ia to be cor
'.goclel un|!L thtt inaputian nas
'beon iiii<Ic and, appri'i5il.
lfiltcB: l{hen conplete -- ProuiCe
fi6 ot tpuable' aections through
P.U.E,
-.:
r'.-
ALL pnojebt condibione, ouch. ae ble tnetaLLation of atreet trerzr" .o;:,pi,r'l;ion-of the
required LanCeccpitcgo ctc., nn:at be eatie !i.:,i bcfore the EUlLDillC FIIIAL can be teqrceted,'FIIIAL PLUMOIIIC
FINAL MECIIANICAL
FIIIAL ELEETNICAL
/(7, FINAL AUILD|I1: The Final Buitdi.ng fnapection m$t bo requeated alter tho Final Plwrbing
),^/ Electrical,'and Meolanical fnspeetiono lteuo been nade atd approved
Job tocation: l-091 S. 45th Street Springfiel-d, OR
t ?c,z tot ilAaceaoors Map ll
Sttbdiviaion: Lucerne ltleadows
Oarcr: Capstone Homes, Inc. of Oregon
Phone:6 89 -5 567
97402
Aildress: P.O. Box 22636
ci ,oR
DescYibe l,lork:
Addition SF',.-p{,,o)
Date of
t-l NPi)n
RenoC.el
vatue (D I A QI
General tone Hones, fnc. of OR P.O.B. 22535 oR 97402 62078 10-18-97 689-5567
P Iurnb S-J PTumbin Co 1147,Main St. S d oR 97477 4666 4 3- 78-92 7 47 -59 89
l.lechanical Garibag Heating 4207 W. 5th Ave. Eug., OR 97402 70545 12-21-91 344-2 4 I f
SrrDer.vetr.;;rrg tilecLr:ician Phif Rose 15685 5U/2rtA.G aO i*l%tZ SliA
6 85-090 589976 Da LaneliJ,ectr!:a1 Rose 54431 9-30-91e, OR 97402
San'tlary eets* capped at propartg l,ine
Septic tork y,tnped atd fitled wtth grwel
?inal - l{hen aborte itons are canpletcd
and uhen darclition ie eorplete br ah,uc-
ture tpved atd pnemisee aleaneC up.
llcmes
Blooking attd, Set-np
Plunbing connecttons -- aa)ep and, r,talen
Electrical Ccqneotion - Blooking, eet-up
and plwbing conneotione Drast be apprroi*ad
befonc requeeting el,ec2rtcal inspeclion
Acceesory BuilCitrg
Finat - Aften pcnchea, okirting, decks,
eto. oe aanpleted.
|Al.f, ilAltttll'E:i nilD C|,EANOW: t,tllj? M ACL-ESSIN,E, ADJ.USTltt:ilt TO nE ttltDl: /tT t:o ClsT TO el'lv P.:t!lc ! of :;
I
Arrzfif Tzsa
L-co *SOLAR ACCESS REQ.-JOB NO.
[ot Faces -
lloueeP
lace
Bedrooms:
Lot Sq. Ftg.
Z of lot Coverage
I of Stortes
Total Height
Topogmphy
b447 w ?APE
2/ ?- V ntenior
3?a
Corne?
Panhandle
Cul-de-sac
ITEM FTC x Va
rOTAL VALUE
S.D.C. I.5 r
3/?,el 6;A:;
a
Date Paid:
Receipt ll:
Building V<llue & Permit
This pennit ia gnanted on the egpress ootd_ition tlat tle said conattwction
"i-LL', i, all nLspecti,-ioiJir*'to the otdinance adopted bv the gity 2fSpiiigli.nti, inolitding'the'Uni.ng Crdinanc-e, negula;ittg bhe ccnstnucttcn
ina
""oL
of Luildinge,- and may \e- suopended or reuokeC at cny ti.ne upon oic-
lation of any prouieiona of eai-d ondinancee.
*
{
BuiWing Permit
Iotal Clntgea
State
Plumbing Permit
No peroon alull conattact, inetall' alter or clnnge-cny net-c? ezieting
ptwb;,ng or drainage syatat tn ulple or in part, unleas auch pereon ia the
iegal pZaaes"on of o oialid pl.r,ber'e lic-eneb, ezcePt that a P?"son,naa 40-ptintiig wrk to property ihich ta oumed, Leased or openated by the appli-
ant.
/60 !a
CITARCEI?EM NO.
2
*
Fi.stures
Reaid.entia.L (1 bath)
Seuer
Ptubing Pernit
State a.)
ad
Electricql Permit
Whete State La requires ttat the electrical work be done by an Electrtcal
contractor, the electrical porti.on of this permit ehall not be oalic until
the label lae been aigned by the Electrical Cont'rdctor.
<
ITotal
Na,t/Ertend Cincuits
Seroica
ITSM NC.FCE cilAncE
6.0oFvrndee YIU)S I
4,foExhanet llooC I
vent Fa ltlcl, t4an 4 lz9e
llcodstotte I )5,e
/D no
37,rc2-pt
I
a
Mechqnicol Permit
Penrtt foaudoe
Neclnnical Pertt
Seearity Deposit
Storage
l"bintenance
Permit
/ 3,7oCvrbcu!2/r',
2D3s7s'Sida,nl,k
lence
Electrical Label
tlobtle Eane
3.t qs
/u/so, niTL e4:*'
?otal
\<o33-Jl-
I ttAvE cARgFULLy EXAIIINED the conpleted application fo.r permit, and do
hereby certify that all infonntion hereoi ia tnue atd cor-nec,tr- atd I
futth-er eentiiy that any ira on wnk perforned elnll be done in aceon-
'dance vith thi Ordinancbe of the City of Springfield, atd the la;e of thc
state.of \regon pertaining to the lurrk ceacribed herein, cnd tlat N0 qccu'
p\iCy oittt b"e ,mbe of dny atructute uithout permiaaion of the Building D.i-
ii"ior. I furthen iertiiil that only contraitote and.enplcyeee uho are in
cmpliance uith oRS 701.055 ui,LL be uaed on thie proiect
?/,il/
,olwAl iunt,Nl illF.l
Signed Date
a
,#//*
t
225 FIFTE SI3,EET
SPRINGPTBLD, oREGON 97 477
INSPECf,ION RBQUBST3 726-3769
0FPICE: 726-3759
1 OF INST
ON
atr)Amns--
Electrical Contract
Address
Ci ty Phone
Supervisor L e Number
Expiration Date 2_-
SPfIINGFI€LO
ELESIRICAL PERHIT APPLICATION
City Job Number q to8+I
3
A
COHPLETB FBE SCIIEDUI^E BELOII
I,lev Residential-Single or
Hulti-Family per dvelling unlt.
Service Included:
Items Cost
1500 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof I $ 15.00
Each Manuf,d Home or
-Modular Dvelling
Service or Feeder $ 35.00
Temporary Services or FeedersInstallation, Alteration or Relocation
Permits are non-transferable and expireif vork ls not started vithin 180 daysof lssuance or if vork is suspended for
180 days.
2. COI{TRACTOR INSTALI,ATION ONLY
Sum
go
/E:"
aSoF
B. Services or Feeders (1,0 Branch Circuits
ineluded). Installation, Alterations
or Relocation:
100 amps or less
101 amps to 400 amps
-40L amps to 600 amps
-601 amps to 1000 "rps-Over 1000 amps/volts
-Reconnect Only
05
$ 3s.00
$ 60.00
$ e0.00
$130.00
$300. 00
$ 3s.00
<\.)
t
cConstr Contr. Number
Expiration Date
Supervi Electrician
s Name
Address
cit Phone
OLTNER IN TION
The installation is being made onproperty I own vhich is not intendedfor sale, Iease or rent.
Ovners Slgnature:
DATE:1-t9-4 I
RECEIPT *:
200 amps or less t/ $ 35.00
201 amps to 400 amps
-
$ 40.00
over 4o1 to 6oo amps
-
$ go.oo
Over 600 amps or 1000 voTts see ilBtr
? <O,J-r
D. Branch Circuits
I.lew, Alteration or Extension per panel
One Cireuit
Tvo to ten Circuits
Each Addt,I ten orportion thereof
SIIBTOTAL OF ABOVE
5X State Surcharge
TOTAL
$ 35.00
$ s0.00
s 1s.00
F Hiscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation g 36.00sign/outline Lighting- $ 36.00Signal Circuit orlimited energy panel $ 36.00
5
RECEIVED rrt